| NPI | 1538205885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE J MILLER MANDELL Owner Therapist 727-656-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I0005085) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I0005085) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-11-04 |